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Is CABG the only solution for coronary artery disease?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My father has been diagnosed with coronary artery disease and triple vessel disease with left main (LM) involvement. I have attached the angiogram report for your reference. Is CABG (coronary artery bypass grafting) the only solution, or could partial stenting be effective?

Alternatively, is it acceptable to manage his condition solely with medication, given that he has few clinical symptoms? His treadmill test (TMT) was strongly positive. He is a smoker and also consumes alcohol. He has high blood pressure and is currently taking Amlodipine, Telmisartan, and Aspirin.

Please help.
Answered by Dr. Muhammad Majid Hanif

Education:

MBBS

Professional Bio:

Dr.Muhammad Majid Hanif is a highly skilled and established physician in the field of Cardiology. He listens to all the patient queries deliberately and is an expert in devising a proper treatment plan.

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Hi,

Welcome to icliniq.com.

I have carefully reviewed your health query, and I am sorry to hear about your father's health issues. This is a concerning disease process. I never recommend taking a passive approach or doing nothing in the case of advanced coronary artery disease. Given that he has triple vessel involvement, the best next step is to consider CABG (coronary artery bypass grafting) surgery, especially if there are no obvious contraindications.

Partial angioplasty is not a viable solution to this problem. Although he may not have obvious signs or symptoms, it is important to understand that the disease has progressed significantly. At any moment, with or without strenuous physical activity, he could experience a severe heart attack, which can be very dangerous and potentially lethal. Therefore, I strongly recommend proceeding with CABG as soon as possible.

I hope this helps.

Thank you.

Answered by
Medically reviewed by Dr. K. Shobana
Published At July 26, 2016
Reviewed At November 26, 2024

Education:

MBBS

Professional Bio:

Dr.Muhammad Majid Hanif is a highly skilled and established physician in the field of Cardiology. He listens to all the patient queries deliberately and is an expert in devising a proper treatment plan.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Decision Helper
Coronary Artery Disease CABG Decision Helper

Considering CABG for Coronary Artery Disease?

Answer a few questions to understand if coronary artery bypass grafting (CABG) is a suitable treatment option for your heart condition.

  • Understand your risk factors for advanced coronary artery disease.
  • Evaluate the severity of your heart condition based on key indicators.
  • Receive guidance on when to discuss CABG with a cardiologist.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance.
Dr. Muhammad Majid Hanif

Cardiology

Education:

MBBS

Professional Bio:

Dr.Muhammad Majid Hanif is a highly skilled and established physician in the field of Cardiology. He listens to all the patient queries deliberately and is an expert in devising a proper treatment plan.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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